Provider Demographics
NPI:1497994263
Name:LIPFORD, VIOLET C (MSED)
Entity Type:Individual
Prefix:
First Name:VIOLET
Middle Name:C
Last Name:LIPFORD
Suffix:
Gender:F
Credentials:MSED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17 MACKELLAR CT
Mailing Address - Street 2:
Mailing Address - City:PEEKSKILL
Mailing Address - State:NY
Mailing Address - Zip Code:10566-6808
Mailing Address - Country:US
Mailing Address - Phone:914-924-8711
Mailing Address - Fax:
Practice Address - Street 1:17 MACKELLAR CT
Practice Address - Street 2:
Practice Address - City:PEEKSKILL
Practice Address - State:NY
Practice Address - Zip Code:10566-6808
Practice Address - Country:US
Practice Address - Phone:914-924-8711
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-18
Last Update Date:2009-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist